Health Affairs November 5, 2024
Increasingly, states are adopting Section 1115 waivers that allow Medicaid to address health-related social needs (HRSN) such as food insecurity, housing instability, and lack of transportation. Ten states now have received approval to cover HRSN services such as housing-related services and nutrition supports, allowing them to waive longstanding bans on using Medicaid to pay for room and board. As states implement these waivers, significant questions remain about who will manage these benefits and how these social supports will be delivered. Will they be distributed with a transactional, piecemeal approach, rather than as part of an integrated model of care? In states with Medicaid managed care, how will managed care companies handle these new benefits that straddle the health and social...
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